| Doctor Name: | JUSTINE ELIZABETH THOMPSON |
| NPI Number: | 1255675211 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLMSW |
| License Number: | 6801095036 |
| Business Practice Address: | 2820 College Ave Escanaba, MI - 498299591 |
| Business Phone Number: | 9062331322 |
| Business Fax Number: | 9062331220 |
| Mailing Address: | 2820 College Ave, ESCANABA |
| State: | MI |
| Postal Code: | 498299591 |
| Phone Number: | 9062331322 |
| Fax Number: | 9062331220 |
| NPI Enumeration Date: | 11/15/2012 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801095036 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |